Individual provider Active NPI

Ihosvani Barroso, M.D

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1992058408
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME122334 Issued in FL
Practice address
4835 E 4TH Ave Ste B
Hialeah, FL 33013-1814
Phone
(786) 899-0119
Fax
(786) 899-0440
NPI assigned
Oct 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME1223334 FL
General Practice Physician 208D00000X ME122334 FL Primary

Addresses

Primary practice location

4835 E 4TH Ave Ste B
Hialeah, FL 33013-1814

Mailing address

4835 E 4TH Ave Ste B
Hialeah, FL 33013-1814
Phone (786) 899-0119

Other identifiers 2

IdentifierTypeStateIssuer
015241700MedicaidFL
ME122334OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160406002041 FL Practitioner - Pediatric Medicine 3870891955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barroso Medical Services LLCGroup PAC ID 1557622107, 2 clinicians

Practice addresses (Care Compare)

4835 E 4TH Ave
Suite B
Hialeah, FL 33013-1814
Phone (786) 899-0119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME1223334FLMDPediatrics Physician
ME122334FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Medical Services, Inc CurrentSince Mar 1, 2016 Accepting new patients
Barroso Medical Services LLC Pediatrics CurrentSince Dec 6, 2017 Accepting new patients
Kidz Medical Services, Inc CurrentSince Mar 1, 2016 Accepting new patients
Start Care Ppec Pediatrics Current Accepting new patients

Locations

9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500

5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668

4835 E 4th Ave
#B
Hialeah, FL 33013
Phone (786) 431-1376

975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200

Interoperability endpoints

  • Direct secure messaging: ihosvani_barroso_md@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1992058408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 E 4TH AVE STE B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131814",
            "telephone_number": "786-899-0119",
            "fax_number": "786-899-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 E 4TH AVE STE B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131814",
            "telephone_number": "786-899-0119",
            "fax_number": "786-899-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARROSO",
        "first_name": "IHOSVANI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-22",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME1223334",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME122334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015241700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME122334",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.